Evolution of cancer cell populations under cytotoxic therapy and treatment optimisation: insight from a phenotype-structured model
2019-07-04, Almeida, Luís, Bagnerini, Patrizia, Fabrini, Giulia, Hughes, Barry D., Lorenzi, Tommaso
We consider a phenotype-structured model of evolutionary dynamics in a population of cancer cells exposed to the action of a cytotoxic drug. The model consists of a nonlocal parabolic equation governing the evolution of the cell population density function. We develop a novel method for constructing exact solutions to the model equation, which allows for a systematic investigation of the way in which the size and the phenotypic composition of the cell population change in response to variations of the drug dose and other evolutionary parameters. Moreover, we address numerical optimal control for a calibrated version of the model based on biological data from the existing literature, in order to identify the drug delivery schedule that makes it possible to minimise either the population size at the end of the treatment or the average population size during the course of treatment. The results obtained challenge the notion that traditional high-dose therapy represents a “one-fits-all solution” in anticancer therapy by showing that the continuous administration of a relatively low dose of the cytotoxic drug performs more closely to i.e. the optimal dosing regimen to minimise the average size of the cancer cell population during the course of treatment.
Reduced-Order Greedy Controllability of Finite Dimensional Linear Systems
2018, Fabrini, Giulia, Iapichino, Laura, Volkwein, Stefan
Often a dynamical system is characterized by one or more parameters describing physical features of the problem or geometrical configurations of the computational domain. As a consequence, by assuming that the system is controllable, a range of optimal controls exists corresponding to different parameter values. The goal of the proposed approach is to avoid the computation of a control function for any instance of the parameters. The greedy controllability consists in the selection of the most representative values of the parameter set that allows a rapid approximation of the control function for any desired new parameter value, ensuring that the system is steered to the target within a certain accuracy. By proposing the reduced basis (RB) method in this framework, we are able to consider linear parametrized partial differential equations (PDEs) in our setting. The computational costs are drastically reduced and the efficiency of the greedy controllability approach is significantly improved. As a numerical example a heat equation with convection is studied to illustrate our proposed RB greedy controllability strategy.